Understanding Unusual Spine Sensations: When to Seek Medical Advice
The lumbar spine feels unusual? Hello Dr. Chang, I apologize for the lengthy message. This morning, after using the restroom, I suddenly felt something unusual in my lumbar spine (it wasn't painful). After struggling to finish, I noticed that walking felt strange (again, no...
Dr. Zhang Junwei Reply:
I recommend that you schedule an appointment with a neurosurgery clinic for an examination; it will be safer and give you peace of mind.[Read More] Understanding Unusual Spine Sensations: When to Seek Medical Advice
Understanding Water-Cooled Radiofrequency Ablation for Chronic Back Pain
Water-cooled radiofrequency ablation for lower back pain? Hello Doctor: My mother fell at the end of August last year and was diagnosed with a compression fracture of the first lumbar vertebra. She underwent a cryoablation procedure immediately, and on the same day post-surgery, ...
Dr. Lai Zhaokang Reply:
Hello: 1. Water-cooled radiofrequency ablation is primarily used for treating lumbar disc herniation, but it can also be applied in pain nerve block procedures. 2. Low-temperature bone cement is injected into vertebral fractures to accelerate the stabilization of the fracture. Bo...[Read More] Understanding Water-Cooled Radiofrequency Ablation for Chronic Back Pain
Post-Surgery Anal Pain: Causes and Solutions After External Hemorrhoid Removal
One year after external mole removal, there is swelling and pain in the anal area? A year after the external hemorrhoid surgery, there is swelling and pain around the anal area extending to the thigh, which occurs intermittently after standing or sitting for about 5 minutes. Dail...
Dr. Ke Fangxu Reply:
This situation is actually more akin to the symptoms of a herniated disc, commonly referred to as bone spur compression of the sacral nerve roots. Symptoms like these would not typically arise from hemorrhoid surgery. I recommend that you first consult with your surgeon to check ...[Read More] Post-Surgery Anal Pain: Causes and Solutions After External Hemorrhoid Removal
Minimally Invasive Surgery for Lumbar Spondylolisthesis: Treatment Options Explored
After undergoing two spinal surgeries, if you experience a slippage of the L4-L5 vertebrae seven years later, what treatment options are suitable for minimally invasive surgery? Hello Doctor: My mother underwent spinal surgery years ago due to complications from a car accident, a...
Dr. Lai Zhaokang Reply:
Hello: 1. There is a slippage at the L4-L5 vertebrae with a fracture. Additionally, there have been two spinal surgeries, and the screws have been removed. Without support, the lumbar region is definitely more unstable and uncomfortable. 2. If you have tried medications and rehab...[Read More] Minimally Invasive Surgery for Lumbar Spondylolisthesis: Treatment Options Explored
Post-Operative Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Postoperative pain after hernia surgery? Hello, I would like to ask a question. It has been over 7 months since I underwent laparoscopic inguinal hernia repair with a mesh implant, but I still frequently experience sharp pain. Sometimes, even when lying down, I feel this pain. Th...
Dr. Xu Kaixi Reply:
Based on your description, the location of your postoperative pain is less related to the surgical site. If the original surgeon has examined you and ruled out any surgery-related issues, it is advisable to investigate other potential causes. Given the location of your pain, you ...[Read More] Post-Operative Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Post-Surgery Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Postoperative pain after hernia surgery? Hello, I would like to ask a question. It has been over seven months since I underwent laparoscopic inguinal hernia repair with a mesh implant, but I still experience frequent sharp pains. Sometimes, I feel these pains even when lying down...
Dr. Xu Kaixi Reply:
Based on your description, the location of your postoperative pain seems to be less related to the surgical site. If the original surgeon has examined you and ruled out any surgery-related issues, it is advisable to investigate other potential causes. Given the location of your p...[Read More] Post-Surgery Pain After Laparoscopic Inguinal Hernia Repair: What to Know
Is Surgery the Right Choice for Your Herniated Disc?
Is surgery suitable for a herniated disc? Hello, Director. I have undergone several imaging examinations as follows: 1. After performing deep squats on July 15, 2018, I was unable to stand the next day. Whenever I stood up, I felt significant discomfort in my right posterior hi...
Dr. Lai Zhaokang Reply:
Hello: 1. I have reviewed your imaging, and there is indeed nerve compression. If you are young and have already tried conservative rehabilitation treatment without satisfactory results, you may consider minimally invasive surgery to directly relieve the pressure on the nerve. ...[Read More] Is Surgery the Right Choice for Your Herniated Disc?
Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Post-Surgery Complications After Hernia Repair: Seeking Guidance
Questions regarding the complications after hernia surgery, please provide a response. Thank you! Dear Dr. Hsu, Hello! I underwent emergency surgery in mid-June this year due to an acute severe right inguinal hernia, during which a synthetic mesh was implanted. After five days o...
Dr. Xu Kaixi Reply:
Inguinal hernia emergency surgery is often accompanied by significant inflammation, which can lead to temporary postoperative edema and fibrosis, as well as fluid accumulation. These conditions typically improve over time, with recovery duration varying based on the severity of t...[Read More] Post-Surgery Complications After Hernia Repair: Seeking Guidance
Understanding Groin Pain: Is It Hernia or Something Else?
Pubic symphysis in the groin region? Hello Doctor: I have experienced intermittent tenderness at the pubic symphysis in the groin area for many years. Sometimes it hurts when pressed, and sometimes it doesn't. After giving birth last year, I noticed that carrying my baby for...
Dr. Ke Fangxu Reply:
During pregnancy, women experience changes in connective tissue relaxation to prepare for childbirth through the birth canal. The pubic symphysis is also affected, and some women may experience pain in this area after delivery. Most of the time, this pain will gradually resolve o...[Read More] Understanding Groin Pain: Is It Hernia or Something Else?
Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Cervical spine surgery (sympathetic nerve) Hello Dr. Lai: I fell from a ladder and injured my cervical spine, which has resulted in back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, anxiety, gastroin...
Dr. Lai Zhaokang Reply:
Hello: 1. If you have undergone surgery at another hospital and have not experienced any improvement after 4 months, you can undergo an MRI examination for evaluation; there is no such thing as "only X-rays." 2. Your symptoms may be caused by cervical spinal cord nerve ...[Read More] Understanding Cervical Spine Surgery and Sympathetic Nerve Issues
Understanding Post-Hernia Surgery: Hard Lump Near Incision
Hernia surgery wound lump? Hello Doctor, I had hernia surgery three weeks ago and a synthetic mesh was used. Recently, I have noticed a hard protruding lump near the incision site. It doesn't hurt most of the time, but it does hurt when pressed. Is this normal? How long will...
Dr. Chen Jiaming Reply:
The artificial mesh used in hernia repair interacts with surrounding tissues to create a reinforcing effect on the abdominal wall, reducing the chances of recurrence. Generally, its position is deeper and not easily accessible. Based on your description of a hard protruding lump ...[Read More] Understanding Post-Hernia Surgery: Hard Lump Near Incision
Accidentally Cutting a Hernia Scar: What You Need to Know
Accidentally cut an old scar from a hernia? Hello, Dr. Hsu: About 15 years ago, I underwent traditional sutured surgery for an indirect inguinal hernia on my right side. The surface was sutured with absorbable stitches, resulting in a scar approximately 10 cm long. The end of the...
Dr. Xu Kaixi Reply:
Hello: The abrasion on the surface of the scar after hernia surgery will not affect the previous hernia repair. It can be treated like a regular skin abrasion, and you can change the dressing daily. Thank you for your question.[Read More] Accidentally Cutting a Hernia Scar: What You Need to Know
19 Days Post-Inguinal Hernia Surgery: Is Softness Normal?
19 days post hernia surgery? It has been 19 days since my inguinal hernia surgery, and the left side feels soft and slightly bulging compared to the normal right side where the mesh is placed. Is this normal? How long will it take for it to completely subside and feel as firm as ...
Dr. Yu Mingchang Reply:
Hello: Please come back for a follow-up appointment when you have time. The Ministry of Health and Welfare Changhua Hospital has been concerned about you for over a month.[Read More] 19 Days Post-Inguinal Hernia Surgery: Is Softness Normal?
Is Artificial Disc Replacement Suitable for Mild Scoliosis?
Could you please provide more details about scoliosis and artificial intervertebral discs? Hello, doctor. I would like to ask if I have two herniated discs in my cervical spine and my doctor has recommended artificial disc replacement. If I also have a mild scoliosis, would it be...
Dr. Lai Zhaokang Reply:
Hello: Generally, scoliosis has less impact on the cervical spine, but if you need to implant an artificial disc in the cervical spine, you should consider whether you choose 1. mobile or 2. fusion type. If you opt for the mobile type, greater attention must be paid to the implan...[Read More] Is Artificial Disc Replacement Suitable for Mild Scoliosis?
Understanding Disc Herniation: Severity, Treatment Options, and Surgery
The severity of a herniated disc and the decision to undergo surgery? Hello Doctor, earlier this year I experienced muscle tightness in my back (with a forward protrusion on the right side). During the Lunar New Year, I began to have lower back pain and numbness in my legs (with ...
Dr. Lai Zhaokang Reply:
Hello: 1. The nucleus pulposus at the L5-S1 level can be absorbed, but if left untreated for a long time, it will degenerate, become dehydrated, and harden, making it more difficult to manage later. Additionally, the intervertebral height will gradually decrease, which can lead...[Read More] Understanding Disc Herniation: Severity, Treatment Options, and Surgery
Is Nerve Block Therapy Effective for L4-L5 Disc Herniation Pain?
Intervertebral Disc Herniation Nerve Block Procedure Hello, is it appropriate to use nerve block therapy for nerve compression caused by an L4-L5 intervertebral disc herniation (resulting in numbness and pain on the outer thigh and calf, as well as lower back pain when extending ...
Dr. Lai Zhaokang Reply:
Hello: 1. Most patients can be suitable, but it still depends on the individual patient and MRI or other examinations to make a judgment. 2. There should be improvement in numbness, but it also depends on the degree of compression and damage; if the injury is severe, the effectiv...[Read More] Is Nerve Block Therapy Effective for L4-L5 Disc Herniation Pain?
Is Heat Therapy Safe for Neck Pain and Nerve Compression?
Neck heat therapy issues? Hello Doctor, I am currently 37 years old and experiencing neck and shoulder pain with numbness in my hands. I have been undergoing rehabilitation since December of last year, and in April, I had an MRI at the hospital which showed a herniated disc at th...
Dr. Lai Zhaokang Reply:
Hello: 1. Rehabilitation may improve your symptoms (neck and shoulder pain, hand numbness). However, it will not fundamentally resolve the issue of the herniated disc at the C5-6 level compressing the nerve by about one-third. 2. Heat therapy should not be too hot (over 45 degree...[Read More] Is Heat Therapy Safe for Neck Pain and Nerve Compression?
Should You Continue Rehab for Herniated Discs? Expert Insights
Should I continue rehabilitation for a herniated disc? Hello, doctor. I am 177 cm tall and weigh 70 kg. In March of this year, I visited a neurologist. Initially, the straight leg raise test, X-rays, and nerve conduction studies showed no issues. On March 29, I had an MRI, and du...
Dr. Lai Zhaokang Reply:
Hello: I have reviewed your MRI images, and there is indeed a condition present. Your questions are: 1. Based on my MRI, what is the likelihood of recovery through rehabilitation? 2. Why might my symptoms worsen after the first rehabilitation session? 3. If I want to continue reh...[Read More] Should You Continue Rehab for Herniated Discs? Expert Insights
Understanding Anal Pain: When to See a Specialist for Relief
Anal pain Hello Doctor, I would like to ask about my symptoms of anal pain that I have been experiencing for the past few months. The pain occurs when I contract my anus, when I stand up after sitting for a long time, and when I move my buttocks while sitting. I do not feel any p...
Dr. Ke Fangxu Reply:
If there is no external injury, the possibility of skeletal damage is not considered. This situation is mostly attributed to neuropathic pain or pelvic muscle coordination issues. Nerve damage caused by a herniated disc is also possible. It is advised that you avoid straining to ...[Read More] Understanding Anal Pain: When to See a Specialist for Relief